Dental Leaders Podcast

Nik Sethi returns to the podcast four years after his first appearance alongside brother Sanjay, and what's changed reads like a masterclass in professional evolution. Now president of BAAD and founder of the Elevate education platform, Nik's story isn't about flashy techniques or groundbreaking discoveries—it's about something far more valuable. He's built his success on a simple premise that many overlook: getting the foundations right matters more than chasing the last 5%. Through honest reflections on juggling multiple practices, raising young children, and navigating the occasional courier disaster, Nik reveals how surrounding yourself with the right people and mastering the basics can transform not just your dentistry, but your entire relationship with the profession. His approach to breaking complex cases into manageable checkpoints, leveraging technology for better communication, and building genuine relationships through dental academies offers a blueprint for sustainable success that doesn't require sacrificing your evenings or your sanity.In This Episode00:02:10 - Return to the podcast00:08:00 - BAAD presidency and academy culture00:13:30 - Young BAAD initiative00:16:05 - Post-COVID events and networking value00:20:30 - Career transitions and taking the plunge00:23:15 - Keys to staying happy in dentistry00:26:10 - Elevate education platform origins00:28:00 - Focusing on foundations over the last 5%00:29:00 - Patient communication and relationship building00:36:50 - Building the Elevate diploma00:40:15 - Business ventures and collaboration00:57:25 - Learning from Dev Patel and Dental Beauty01:00:55 - Drew Shah and Dentinal Tubules influence01:02:40 - Leadership and financial education01:04:15 - Spinning multiple plates01:07:15 - Hands-on course disasters and problem solving01:18:05 - Lab relationships and communication01:25:15 - Trust and long-term lab partnerships01:31:20 - Physical impressions versus digital scanning01:33:15 - Using digital technology for patient education01:37:00 - Direct versus indirect treatment decisions01:38:05 - Check scans and real-time lab communication01:40:00 - Managing patient expectations and workflows01:42:30 - Complex case treatment planning in stages01:46:00 - Importance of mastering the basics01:50:35 - Materials knowledge and reducing variables01:54:00 - Continuous learning and accepting failuresAbout Nikhil SethiNikhil Sethi is a restorative dentist and current president of the British Academy of Aesthetic Dentistry (BAAD). He practises at Square Mile Dental Centre in London with his brother Sanjay and colleague Amit, and runs a second practice in Essex. During the COVID lockdown, Nik founded Elevate, an education platform focused on teaching foundational principles in restorative dentistry through webinars and hands-on courses.

When a slipped disc ends your dental career at its peak, what comes next? Randeep Singh Gill's story isn't about endings—it's about radical reinvention. A digital dentistry enthusiast whose career was built on precision and routine, Randeep found himself confronting an identity crisis when chronic neck pain forced him away from practice. But here's where it gets interesting: instead of retreating, he pivoted into the very thing he'd always loved but never pursued: technology. Now he's building Dental CFO, an AI-powered platform designed to give practice owners something he believes they desperately lack: clarity. From workaholic associate to tech founder, Randeep's journey exposes the fragility of our professional identities and the transferable skills we don't realise we possess until we're forced to use them.In This Episode00:04:10 - Why dentistry over computing00:05:25 - Left hand, right hand00:10:15 - Six-day weeks and holiday guilt00:14:30 - When cutting down actually earned more00:20:40 - Identity crisis and the grief of leaving00:26:05 - Teaching himself AI and entrepreneurship00:32:30 - The six-month online course00:38:15 - Finding your niche: Cerec crowns and clarity00:39:05 - Building Dental CFO for real-time intelligence00:42:45 - Financial clarity as obsession00:47:25 - LinkedIn and hundreds of conversations01:03:30 - Blackbox thinking01:13:30 - Mistakes in tech: ego and uncertainty01:17:05 - Squad models and developer dynamics01:20:10 - Missing the people and the routine01:26:55 - AI anxiety and raising kids offline01:29:40 - Competition nightmares in tech01:35:00 - Fantasy dinner party01:37:30 - Last days and legacyAbout Randeep Singh GillRandeep qualified from King's College London in 2009 and spent over a decade as an associate, including 11.5 years at the same practice where he developed a passion for digital dentistry and same-day Cerec crowns. When a cervical disc injury cut his clinical career short, he retrained in AI and entrepreneurship, founding Dental CFO—a platform designed to give dental practice owners real-time financial intelligence and clarity.

Best friends Alisha Sagar and Natalie Gabrawi met at King's dental school and have remained inseparable ever since. In this episode, they share their journey from different backgrounds—Alisha's upbringing in Zambia and Natalie's roots in a medical family—to navigating their foundation years together. Their paths are diverging professionally, with Alisha drawn to implants and oral surgery, whilst Natalie gravitates towards restorative dentistry and aesthetics. Beyond clinical aspirations, they discuss work-life balance, the role of faith, and their commitment to giving back to communities that shaped them. It's a candid conversation about early career decisions, the pressure to succeed, and the power of friendship in weathering the uncertainties of young professional life.In This Episode00:02:10 - Meeting at King's 00:02:15 - Pre-dental school expectations 00:04:05 - Growing up in Zambia 00:07:10 - Coming from a medical family 00:12:30 - Different clinical interests emerge 00:15:25 - Specialising versus special interests 00:19:00 - Three-year career projections 00:26:50 - DCT plans and private practice 00:28:50 - Getting engaged during foundation year 00:34:20 - Work-life balance philosophies 00:44:00 - Entrepreneurial ambitions 00:50:00 - AI anxieties 00:57:25 - Faith and staying optimistic 01:02:10 - Darkest days in dentistry 01:03:50 - Blackbox thinking 01:07:10 - A smile transformation story 01:13:05 - Giving back financially 01:14:50 - Fantasy dinner partyAbout Alisha Sagar and Natalie GabrawiAlisha grew up in Zambia before moving to the UK for her A-levels and dental training at King's College London. Now completing her foundation year, she's discovered a passion for implants and oral surgery after shadowing clinicians in practice. She's recently engaged and balancing personal milestones with ambitious career plans that may one day lead her back to Zambia.Natalie comes from Derby and a family of doctors who actively discouraged her from following in their footsteps. After struggling with self-consciousness about her teeth as a child, she found her calling in dentistry. Now in her foundation year, she's drawn to restorative dentistry and is considering DCT training in the field, with aspirations towards full mouth rehabilitation work.

Aditi Bhalla's story reads like a cautionary tale about high achievement. A specialist prosthodontist who ticked every box—academic success, specialist training, teaching positions—she found herself breaking down in surgery in 2018, asking the question so many high achievers eventually face: is this it? After developing De Quervain's tenosynovitis from repetitive movements and stress, Aditi was forced to step away from dentistry. What followed was an unexpected journey into spirituality, meditation, and ultimately, retraining as an integrative psychotherapist. Now she works predominantly with dentists and other professionals who've achieved everything they thought they wanted but still feel lost, anxious, and burnt out. Her transformation from perfectionist dentist to spiritual guide offers a roadmap for those struggling with the same questions she once faced.In This Episode00:02:15 - High achievers feeling lost 00:03:10 - The perfectionism plateau 00:04:10 - Growing up as the brainy kid 00:06:35 - School captain to dental specialist 00:08:15 - Choosing prosthodontics 00:10:20 - Breaking down in surgery 00:11:45 - Discovering spirituality 00:14:30 - The spiritual awakening path 00:21:00 - Retraining as a psychotherapist 00:28:00 - Meditation fundamentals 00:32:25 - Breathwork techniques 00:42:00 - Self-compassion versus weakness 00:44:00 - Contentment and ambition coexisting 00:46:20 - The wrist injury that changed everything 00:57:15 - Therapy versus dentistry 01:00:00 - Understanding spirituality 01:03:10 - Blackbox thinking 01:12:10 - The Wellbeing Hub 01:14:35 - Fantasy dinner party 01:16:20 - Last days and legacyAbout Aditi BhallaAditi is a former specialist prosthodontist who trained in India before completing her specialist training at King's College London. She lectured for both King's and Health Education England, teaching occlusion and toothwear, whilst working in multiple practices across the Southeast. After developing Dequervain's tenosynovitis—a repetitive strain injury that left her unable to continue clinical work—she embarked on a spiritual journey that transformed her career. Now an integrative psychotherapist, life coach, and wellness advocate, she works predominantly with dentists, bankers, and medical professionals experiencing burnout and existential questioning despite their professional success.

Alex Buciu's story reads like something from another era. From endodontics in Romania to amalgams in Northern Ireland, his path through dentistry mirrors a deeper journey through loss, resilience and reinvention. When your mum dies at 14 and you're watching it happen, something shifts inside. When you arrive in a new country with £3,100 in your pocket—half of it borrowed—you learn what matters. Alex talks about communication trumping clinical skill every time, about choosing kindness when you're capable of violence, and why he'd rather be a brilliant generalist than a mediocre anything-else. There's philosophy here, hard-won wisdom, and the kind of honesty that only comes from someone who's genuinely fought for everything they have.In This Episode00:02:15 - Qualifying in Romania and building an endodontics practice 00:03:10 - The shock of NHS dentistry 00:08:40 - Why leave Romania 00:18:45 - Finding mentor Kieran 00:20:05 - Arriving with £3,100 00:26:00 - How to choose courses wisely 00:26:45 - The occlusion eureka moment 00:32:05 - Why not endodontics in the UK 00:37:35 - Moving to Peterborough 00:42:45 - Building from zero patients 00:44:00 - Favourite courses and lecturers 00:52:40 - Communication beats clinical skill 00:58:15 - Growing up under Ceaușescu 01:08:25 - Losing his mother at 14 01:14:20 - Volunteering in trauma 01:17:10 - Near-death experiences 01:24:50 - Blackbox thinking 01:35:40 - Fantasy dinner party 01:41:55 - Last days and legacyAbout Alex BuciuAlex qualified in Romania in 2004 and built a successful endodontics-focused practice before moving to Northern Ireland in 2018, later settling in Peterborough. He works as a private associate, focusing on restorative dentistry, occlusion and TMD, with a particular passion for continuous education and patient communication. Despite significant personal challenges, including arriving in the UK with minimal resources, he's built a reputation as an excellence-driven clinician who believes communication matters more than clinical perfection.

There's something about meeting someone who's truly hungry to learn. Payman spotted it straight away when Sanaa Harroussi walked into his Mini Smile Makeover course—that rare fire in the belly. But here's the thing: Sanaa's journey from Rabat to Paris to West London isn't just about collecting qualifications. It's about a woman who aced the ORE first time, built a fifteen-year career in the same practice, and then had everything turned upside down when her second son received a six-month life expectancy. What follows is a masterclass in resilience, the art of not taking anything for granted, and learning when perfectionism helps and when it hurts.In This Episode00:00:45 - Introduction and first impressions 00:01:25 - Growing up in Rabat 00:02:20 - Competitive entry into dental school 00:02:50 - How dentistry happened 00:03:50 - The serious student 00:06:25 - Postgraduate training in Paris 00:07:15 - Paris versus London 00:09:20 - The ORE challenge 00:11:20 - Blackbox thinking 00:17:10 - Finding her first job 00:20:30 - NHS reality check 00:21:55 - Patient expectations 00:24:25 - Family life begins 00:26:30 - The diagnosis 00:29:45 - Fighting for treatment 00:32:00 - Life with disability 00:33:40 - One day at a time 00:38:20 - The improvement obsession 00:40:00 - Retreats and self-care 00:40:30 - Clinical loves and methods 00:43:25 - Rubber dams and labs 00:48:40 - The digital question 00:51:10 - Invisalign journey 00:57:15 - Fantasy dinner party 00:58:45 - Last days and legacyAbout Sanaa HarroussiSanaa Harroussi trained in dentistry in Morocco before completing postgraduate studies in prosthodontics in Paris. She's been practising in West London for fifteen years, building her career in the same practice whilst raising three sons. When her middle child was diagnosed with spinal muscular atrophy, Sanaa fought to secure him a place in a clinical trial that would save his life.

What happens when a complaint over a scale and polish changes everything? For Alif Moosajee, a GDC investigation became the catalyst that transformed him from a dentist flying under the radar into the owner of Oakdale, one of Leicester's most distinctive private practices. This conversation charts his path from undergraduate struggles with imposter syndrome through the crucible of regulatory scrutiny to building a seven-surgery practice rooted in authentic patient care. Along the way, Alif shares hard-won insights about guided implantology, the perils of well poisoners, and why breaking kayfabe—wrestling's term for dropping the performance—might be the most honest thing you can do for your patients. It's a story about choosing growth over comfort, one calculated risk at a time.In This Episode00:01:00 - The Smiling Dentist origins 00:02:20 - Tony Robbins and the power of physiology 00:15:00 - Undergraduate struggles and fixed mindset 00:16:25 - The GDC complaint that changed everything 00:22:20 - Buying Oakdale practice 00:26:40 - Growing up in Slough and choosing dentistry 00:31:55 - Building the practice vision 00:35:20 - Firing the well poisoner 00:38:30 - Custodian of the vision 00:47:00 - The unmeasurable things that matter most 00:53:30 - Surprise and delight tactics 01:00:25 - Contentment versus ambition 01:06:00 - The Tony Robbins business mastery mistake 01:09:00 - Dark days in practice ownership 01:19:00 - Blackbox thinking 01:24:15 - Switching to fully guided implants 01:28:30 - Fantasy dinner party 01:33:55 - Last days and legacyAbout Alif MoosajeeAlif Moosajee studied dentistry at Birmingham and owns Oakdale Dental in Leicester, a seven-surgery private practice where he focuses on implant dentistry and digital workflows. Known as "The Smiling Dentist" from his book published over a decade ago, Alif has built his practice around immediate implant protocols and fully guided surgery following early clinical challenges that reshaped his approach to risk management.

Raj Ahlowalia's remarkable 33-year journey in a single practice reveals what true dedication to the craft looks like. From almost missing university entirely to becoming an internationally recognised authority on functional occlusion, his story challenges everything we think we know about dental careers. The son of a polyglot interpreter who hitchhiked from India to the UK, Raj stumbled into dentistry through a teacher's intervention, then methodically built expertise that took him from Biggleswade to the stages of Pankey and Spear. His time on Extreme Makeover taught him the crucial difference between patients who want cosmetic work and those who genuinely need rehabilitation—a distinction that shaped his entire philosophy of practice.In This Episode00:07:15 - Father's extraordinary hitchhiking journey from India00:19:20 - The accidental path to dentistry00:39:25 - First job and VT experience00:44:15 - Extreme Makeover TV breakthrough01:13:15 - Teaching at Pankey and Spear institutes01:28:00 - Blackbox thinking01:31:40 - Forced retirement due to spinal issues01:34:05 - Photography passion and flying adventures01:59:25 - Learning NLP and hypnosis techniques02:03:40 - Patient litigation experience02:15:00 - Fantasy dinner party02:15:25 - Last days and legacyAbout Raj AhlowaliaRaj spent his entire 33-year career at one practice in Biggleswade, evolving from VT to an internationally recognised expert in functional occlusion. He taught at both the Pankey Institute and for Frank Spear, appeared on the Extreme Makeover TV show, pioneering the first implant shown on British television, and developed a comprehensive approach to full-mouth rehabilitation that emphasises function over pure aesthetics.

Ashkan returns to reveal how Southcliffe Dental transformed from near-bankruptcy to unprecedented profitability through a revolutionary therapist-led model. From losing half his body weight to facing GDC proceedings, he opens up about the personal costs of rapid expansion and the dark period when £4 million in clawbacks nearly destroyed everything. His ex-wife's intervention during his lowest moment becomes a turning point, leading to a complete business overhaul that's now attracting attention from private equity firms across the sector. Raw, unfiltered, and brutally honest about the realities of corporate dental leadership.In This Episode00:01:25 - Quality over quantity mindset shift00:02:50 - The £4 million clawback crisis00:06:00 - Revolutionary therapist business model00:17:35 - Organisational restructure and delegation00:25:30 - Leadership philosophy and high standards00:30:50 - Physical transformation journey00:46:45 - GDC proceedings and workplace allegations01:04:25 - Blackbox thinking01:17:05 - Clinical errors and patient management01:23:15 - Business decisions and banking relationships01:33:15 - Fantasy dinner party01:08:45 - Last days and legacyAbout Ashkan PitchforthAshkan is the CEO and co-founder of Southcliffe Dental Group, which operates 24 mixed NHS practices employing around 400 people. He pioneered an innovative therapist-led delivery model that has revolutionised the group's profitability, taking EBITDA from zero to 7-8 million within two years. A clinical dentist turned entrepreneur, he's known for his direct leadership style and willingness to challenge conventional dental business models.

Two Iranian dentists who took the scenic route to British dentistry, Sara Khandan and Mahan Mohaghegh's story reads like a masterclass in adaptability. From Tehran to Debrecen University in Hungary, then straight into the UK without ever having set foot in the country before, their journey showcases both the challenges and rewards of international dental careers. Now transitioning from NHS to private practice, they share candid insights about navigating visa dependencies, cultural differences between healthcare systems, and why being top of your class doesn't guarantee an easy path. Their conversation reveals how different countries approach dentistry, from Hungary's more invasive techniques to the UK's preventive focus, and why sometimes the most circuitous routes lead to the most rewarding destinations.In This Episode00:01:15 - Arriving in the UK without ever having visited before00:03:30 - Why they chose Hungary for dental education over Iran00:05:30 - First impressions of Hungary and cultural differences00:08:25 - Military service requirements forcing early departure from Iran00:10:15 - Financial challenges of studying abroad00:13:10 - Hungarian education system: oral exams and luck factors00:17:00 - Working in Hungary's NHS-equivalent system00:19:15 - Cultural differences: Eastern European "egg" vs Western "peach"00:25:15 - The decision to move to the UK post-Brexit00:29:50 - Landing NHS jobs sight unseen00:34:10 - Learning UK dentistry systems and mentorship importance00:38:30 - NHS complaint system challenges00:40:25 - The band system frustrations00:43:25 - Visa dependency limiting job opportunities00:47:00 - Transition to private practice00:52:55 - Future aspirations: cosmetics vs surgical specialisation00:59:15 - Darkest day: fear and uncertainty in early UK days01:03:25 - Blackbox thinking01:06:40 - TMJ dislocation during extraction01:10:25 - Being top of class vs visa reality check01:14:20 - Best dental lectures and mentorship value01:18:20 - Fantasy dinner party01:20:55 - Last days and legacyAbout Sara Khandan and Mahan MohagheghSara Khandan and Mahan Mohaghegh are Iranian-born dentists who graduated from the University of Debrecen in Hungary before relocating to the UK. After three years of practice in Hungary's public healthcare system, they moved to the UK and completed two and a half years in the NHS before transitioning to private practice. Sara is pursuing advanced cosmetic dentistry training, whilst Mahan is focusing on surgical procedures and implant dentistry. Both are planning to eventually open their own practice within the next five to six years.